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  • 标题:Using the yes/no recognition response pattern to detect memory malingering
  • 本地全文:下载
  • 作者:Sebastian Schindler ; Johanna Kissler ; Klaus-Peter Kühl
  • 期刊名称:BMC Psychology
  • 印刷版ISSN:2050-7283
  • 出版年度:2013
  • 卷号:1
  • 期号:1
  • 页码:12
  • DOI:10.1186/2050-7283-1-12
  • 语种:English
  • 出版社:BioMed Central
  • 摘要:Detection of feigned neurocognitive deficits is a challenge for neuropsychological assessment. We conducted two studies to examine whether memory malingering is characterized by an elevated proportion of false negatives during yes/no recognition testing and whether this could be a useful measure for assessment. Study 1 examined 51 participants claiming compensation due to mental disorders, 51 patients with affective disorders not claiming compensation and 13 patients with established dementia. Claimants were sub-divided into suspected malingerers (n = 11) and non-malingerers (n = 40) according to the Test of Memory Malingering (TOMM). In study 2, non-clinical participants were instructed to either malinger memory deficits due to depression (n = 20), or to perform normally (n = 20). In study 1, suspected malingerers had more false negative responses on the recognition test than all other groups and false negative responding was correlated with Minnesota-Multiphasic Personality Inventory (MMPI) measures of deception. In study 2, using a cut-off score derived from the clinical study, the number of false negative responses on the yes/no recognition test predicted group membership with comparable accuracy as the TOMM, combining both measures yielded the best classification. Upon interview, participants suspected the TOMM more often as a malingering test than the yes/no recognition test. Results indicate that many malingers adopt a strategy of exaggerated false negative responding on a yes/no recognition memory test. This differentiates them from both dementia and affective disorder, recommending false negative responses as an efficient and inconspicuous screening measure of memory malingering.
  • 关键词:Assessment ; Malingering/symptom validity testing ; Learning and memory ; Depression ; Dementia ; Feigning
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